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ERICA R MINTZER MD
NPI 1154559706
Family Medicine in Malden, MA

Active since June 22, 2009PECOS EnrolledAccepts Medicare Assignment
195 CANAL ST, MALDEN, MA 02148(781) 338-0500 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2026, Sep 18, 2025, Feb 5, 2020 (3 updates tracked since 2020).

About Erica R Mintzer Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERICA R MINTZER MD (NPI 1154559706) is an individual family medicine provider in Malden, Massachusetts, licensed in Massachusetts (251302) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Cambridge Health Alliance, and maintains a secondary practice location in Brighton.

NPPES Registry Identity

NPI1154559706
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameERICA R MINTZERCredential: MD
Location Address195 CANAL STMalden, MA 02148-6701
Mailing Address195 Canal StMalden, MA 02148-6701 · (781) 338-0500
Phone(781) 338-0500
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2009
Enumeration DateJune 22, 2009
Last NPPES UpdateMarch 6, 20263 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1154559706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MA · 251302
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
195 CANAL ST, Malden, MA 02148
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Secondary Practice Location 1

Location 111 Nevins St Ste 505Brighton, MA 02135-3514 · Phone (617) 414-2500

Other Identifiers 1

Medicaid110093516AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Erica R Mintzer Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769633395
PECOS Enrollment IDI20121108000089
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
49 services33 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
17 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cambridge Health Alliance

Acute Care Hospitals · Cambridge, MA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number220011
Location1493 Cambridge StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

St Elizabeth's Medical Center

Acute Care Hospitals · Brighton, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220036
Location736 Cambridge StreetBrighton, MA 02135 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02148 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers23 claims50 services$6.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NICHOLAS GOPAL
Pharmacist
195 CANAL ST
MALDEN, MA 02148
Middlesex County (617) 665-2020
DR. ALANA TOVA MD
Student in an Organized Health Care Education/Training Program
195 CANAL ST
MALDEN, MA 02148
Middlesex County (781) 338-0500
LAURA J SULLIVAN MD
Family Medicine
195 CANAL ST
MALDEN, MA 02148
Middlesex County (781) 338-0500
CAITLIN FEBRES-MAZZEI RN
Registered Nurse
195 CANAL ST, SUITE 100
MALDEN, MA 02148
Middlesex County (617) 665-1566
MARGARIDA CARDOSO HOLMES
Health Educator
195 CANAL ST
MALDEN, MA 02148
Middlesex County (781) 338-0500
DR. PAUL FRYDRYCH MD
Student in an Organized Health Care Education/Training Program
195 CANAL ST
MALDEN, MA 02148
Middlesex County (781) 338-0500
CALEB WARREN MD, MBA
Student in an Organized Health Care Education/Training Program
195 CANAL ST
MALDEN, MA 02148
Middlesex County (781) 338-0500
MARIAM MALOYAN DO
Student in an Organized Health Care Education/Training Program
195 CANAL ST
MALDEN, MA 02148
Middlesex County (781) 338-0500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erica Mintzer's NPI number?

The NPI number for Erica Mintzer is 1154559706. It was assigned to this individual provider in the NPPES registry on June 22, 2009.

Where is Erica Mintzer located?

Erica Mintzer practices at 195 Canal St, Malden, MA 02148. The listed phone number is (781) 338-0500.

What is Erica Mintzer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Erica Mintzer enrolled in Medicare?

Yes. Erica Mintzer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Erica Mintzer accept?

Health plans from Anthem Blue Cross and Blue Shield list Erica Mintzer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Erica Mintzer affiliated with any hospitals?

According to CMS data, Erica Mintzer is affiliated with Cambridge Health Alliance and St Elizabeth's Medical Center.

When was this NPI record last updated?

The NPPES record for Erica Mintzer was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.